TAMARA JEAN HALL


Address: 377 Th Medical Group, Mdos/sgomp, Kirtland Afb, NM 87117
Phone: 5058463701

TAMARA JEAN HALL (NPI# 1669446126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669446126
Entity Type Individual
Full Name TAMARA JEAN HALL
Credential CPNP
Practice Address 377 Th Medical Group
Mdos/sgomp
Kirtland Afb
NM 87117
Mailing Address 5540 Timberfalls Rd Nw
Albuquerque
NM 87114-0594
Practice Telephone 5058463701
Mailing Telephone 5058187958
Enumeration Date 2006-02-13
Last Update Date 2018-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
CNP-01796 NM Physician Assistants & Advanced Practice Nursing Providers

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1508180597 Tamara D Hall Licensed Practical Nurse 624 E 85th St, Apt 1, Brooklyn, NY 11236-3430 2010-03-18
1861607236 Tamara Lynn Hall Licensed Practical Nurse 1145 Twp Rd 1293, Ashland, OH 44805-0000 2007-05-11
1356401517 Tamara C Hall Family Medicine 86 Harris Dr., Kilmarnock, VA 22482 2006-12-11
1760095327 Tamara Leah Hall Technician 130 George St, Beckley, WV 25801-2648 2020-08-24
1730709585 Tamara Hall Peer Specialist 529 Martin Luther King Blvd, Flint, MI 48502-2002 2020-04-22
1093094997 Tamara Hall Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2011-08-09

Office Location

Street Address 377 TH MEDICAL GROUP
MDOS/SGOMP
City KIRTLAND AFB
State NM
Zip Code 87117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144214677 Brandon Clint Internal Medicine 377 Th Medical Group, 2050a Second Street Se, Kirtland Afb, NM 87117-5522 2005-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245614544 Rowland Coyle Military Health Care Provider 701 Stephen Moody Rd, Albuquerque, NM 87117 2015-07-16
1649619511 National Vision Optical Technician/Technologist 7901 Gibson Blvd, Bldg 20176, Kirtland, NM 87117 2013-06-24
1437493020 Sarah Michael Workman Nurse Practitioner 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 2012-11-20
1871852210 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Kirtland Afb Building 20170, Albuquerque, NM 87117 2012-05-04
1528180502 Gay C Davis Speech-Language Pathologist 25000 East Kirtland Afb, Wherry Es, Albuquerque, NM 87117 2007-04-03
1952493017 Angela Marie Albrecht Family Medicine 377 Medical Group 2050 A Second St Se, Albuquerque, NM 87117 2006-09-28
1104930734 Lesley Dale Pacheco Social Worker 2050 A 2nd Street, Kirtland Afb, NM 87117 2006-08-19
1053355735 Joseph Agage Ouma Family Medicine 377th Mdg, Kirtland Afb, 2050 A Second St, Se, Albuquerque, NM 87117 2006-06-15
1033762927 Mary Mauldin Registered Nurse 1515 Eubank Blvd, Albuquerque, NM 87117 2019-07-19
1811540834 Angie Leigh Avila-quigley Registered Nurse 1515 Eubank, Albuquerque, NM 87117 2019-07-18
Find all providers in zip 87117

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558960153 Renea M Reano Nurse Practitioner 4701 Irving Blvd Nw Apt 508, Albuquerque, NM 87114-3906 2020-10-23
1104433952 Joli Ann Martinez Nurse Practitioner 2028 Coba Rd Se, Rio Rancho, NM 87124-8913 2020-09-25
1124642772 Little Steps Pediatrics LLC Nurse Practitioner 1990 E Lohman Ave Ste A, Las Cruces, NM 88001-3117 2020-05-29
1558865980 Kirsten Shelby Guerra Nurse Practitioner 4401 E. Lohman Ave ., Suite A, Las Cruces, NM 88011 2018-03-21
1225552094 Sacheen Diahn Naddy Nurse Practitioner 8650 Alameda Blvd Ne # 101, Albuquerque, NM 87122-3791 2017-08-02
1336661958 Camille Caroline Walker Nurse Practitioner 437 Loma Linda Loop Ne, Rio Rancho, NM 87124-4717 2017-07-14
1700242112 Gustavo Gutierrez Nurse Practitioner 800 S County Line Dr, Chaparral, NM 88081 2016-01-14
1689040461 Elizabeth Rodgers Nurse Practitioner 700 Lomas Blvd Ne, 3 Woodward Center, Albuquerque, NM 87102 2015-08-17
1891026563 Lori Myers Nurse Practitioner 1721 Rio Rancho Blvd. Nw, Rio Rancho, NM 87124 2010-01-20
1972833523 Deborah J Angeles Nurse Practitioner 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 2010-01-04
Find all providers with the same taxonomy

Competitor

Search similar providers

City KIRTLAND AFB
Zip Code 87117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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